Ukc Registered Sire Litter Application Form Page 3

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Step 7 - dditional Pups
(use if needed - If more than 1 Registrant per pup, a Sole Signatory Form is required. You can download the Sole Signatory form at DM.pdf.)
Sex ________ Color ______________________________________________________ Variety ________________________ Tattoo# ______________________________________
K
$24
3-Gen Pedigree ............................
Dog
Name
K
$29
4-Gen Pedigree ............................
Print the name of the Sole Signatory to whom pup is being registered. ______________________________________________________________________________________________________________________________
dditional
ddress __________________________________________________________ City ______________________________ State ______________ Zip ________________ Country ______________________________
K
$10
Easy Entry
Card ........................
TM
Phone (_______) _________________________ E-mail ________________________________________________________ Date of Sale _________ / _________ / _________
(If more than one individual is being listed on this
dog’s record, a Sole Signatory Form is required)
Sex ________ Color ______________________________________________________ Variety ________________________ Tattoo# ______________________________________
K
$24
3-Gen Pedigree ............................
Dog
Name
K
$29
4-Gen Pedigree ............................
Print the name of the Sole Signatory to whom pup is being registered. ______________________________________________________________________________________________________________________________
dditional
ddress __________________________________________________________ City ______________________________ State ______________ Zip ________________ Country ______________________________
K
$10
Easy Entry
Card ........................
TM
Phone (_______) _________________________ E-mail ________________________________________________________ Date of Sale _________ / _________ / _________
(If more than one individual is being listed on this
dog’s record, a Sole Signatory Form is required)
Sex ________ Color ______________________________________________________ Variety ________________________ Tattoo# ______________________________________
K
$24
3-Gen Pedigree ............................
Dog
Name
K
$29
4-Gen Pedigree ............................
Print the name of the Sole Signatory to whom pup is being registered. ______________________________________________________________________________________________________________________________
dditional
ddress __________________________________________________________ City ______________________________ State ______________ Zip ________________ Country ______________________________
K
$10
Easy Entry
Card ........................
TM
Phone (_______) _________________________ E-mail ________________________________________________________ Date of Sale _________ / _________ / _________
(If more than one individual is being listed on this
dog’s record, a Sole Signatory Form is required)
Sex ________ Color ______________________________________________________ Variety ________________________ Tattoo# ______________________________________
K
$24
3-Gen Pedigree ............................
Dog
Name
K
$29
4-Gen Pedigree ............................
Print the name of the Sole Signatory to whom pup is being registered. ______________________________________________________________________________________________________________________________
dditional
ddress __________________________________________________________ City ______________________________ State ______________ Zip ________________ Country ______________________________
K
$10
Easy Entry
Card ........................
TM
Phone (_______) _________________________ E-mail ________________________________________________________ Date of Sale _________ / _________ / _________
(If more than one individual is being listed on this
dog’s record, a Sole Signatory Form is required)
Sex ________ Color ______________________________________________________ Variety ________________________ Tattoo# ______________________________________
K
$24
3-Gen Pedigree ............................
Dog
Name
K
$29
4-Gen Pedigree ............................
Print the name of the Sole Signatory to whom pup is being registered. ______________________________________________________________________________________________________________________________
dditional
ddress __________________________________________________________ City ______________________________ State ______________ Zip ________________ Country ______________________________
K
$10
Easy Entry
Card ........................
TM
Phone (_______) _________________________ E-mail ________________________________________________________ Date of Sale _________ / _________ / _________
(If more than one individual is being listed on this
dog’s record, a Sole Signatory Form is required)
Sex ________ Color ______________________________________________________ Variety ________________________ Tattoo# ______________________________________
K
$24
3-Gen Pedigree ............................
Dog
Name
K
$29
4-Gen Pedigree ............................
Print the name of the Sole Signatory to whom pup is being registered. ______________________________________________________________________________________________________________________________
dditional
ddress __________________________________________________________ City ______________________________ State ______________ Zip ________________ Country ______________________________
K
$10
Easy Entry
Card ........................
TM
Phone (_______) _________________________ E-mail ________________________________________________________ Date of Sale _________ / _________ / _________
(If more than one individual is being listed on this
dog’s record, a Sole Signatory Form is required)
Total for Step 7 $ ____________________

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